FAQ for policyholders of Friday Health Insurance Company, Inc. (2024)

This notice provides information about Friday Health Insurance Company, Inc. (Friday Health). Friday Health is a life, accident and health insurer domiciled in Texas and licensed only in Texas. It is intended to provide consumers an overview about the condition of Friday Health.

General information

1. Is Friday Health still in business?

No, on March 23, 2023, Friday Health was placed in receivership and ordered into liquidation by the Travis County District Court in Austin, Texas (the “Court”) in case number D-1-GN-23-001549. Cantilo & Bennett, L.L.P. is the Special Deputy Receiver (SDR) responsible for the day-to-day administration of Friday Health. See the order appointing the liquidator (PDF)

2. Why is Friday Health in liquidation?

On March 23, 2023, The Travis County District Court in Austin, Texas (the “Court” or “Receivership Court”) issued an order finding Friday Health was insolvent, placing it into Liquidation, and appointing the Texas Commissioner of Insurance (the “Commissioner”) as Liquidator (the “Liquidation Order”). Friday Health does not have admitted assets equal to its liabilities and has total adjusted capital less than that required under Texas Insurance Code chapter 841.

3. What is the status of my Friday Health policy?

The Liquidation Order is not cancelling policies. The majority of policies have expired.

4. Can I renew, make changes, or add coverage to my Friday Health policy?

No renewal or new policies will be issued.

Claims information

5. What if I have a new claim?

For the time being, all new claims should be reported to Friday Health by calling 844-451-4444, Monday-Friday 8 a.m. – 8 p.m. CT and 7 a.m. – 7 p.m. MT or mail to:

Friday Health Insurance Company, Inc.
c/o Smart Data Solutions
P.O. Box 21594
Eagan, MN 55121

Policyholders do not need to submit any additional documentation beyond the normal claim submissions for the Texas Life & Health Insurance Guaranty Association (TLHIGA) to process their claims. There may be a delay initially in the payment of claims because of the transition to receivership. Policyholders with claims that may exceed TLHIGA’s statutory coverage limit will be notified by the SDR of any possible claim against the assets of the Friday Health receivership estate. New and existing claims may be covered by TLHIGA. For more information about TLHIGA, visit TXLifeGA.org.

6. What should I do if I currently have a claim check that was issued for a claim on a Friday Health policy?

If you have a claim or benefits payment check issued on a claim on a Friday Health policy in your possession, you should cash the check or deposit it with your bank.

7. What if I have an unpaid claim? Is my claim covered by a guaranty association?

TLHIGA will provide coverage for all eligible Friday Health (Texas) policyholders (most of whom will be Texas residents), subject to the lesser of their policy limits or the statutory limit of $500,000 for any one individual. For more information about TLHIGA, visit TXLifeGA.org.

8. What if my claim is not covered by TLHIGA?

All claims against Friday Health that are not covered in whole or in part by TLHIGA should be submitted to the SDR in the Proof of Claim (“POC”) process. This includes claims that are related to insurance policies but denied coverage by TLHIGA. It does not include claims for amounts over TLHIGA limits (see question 5). It also includes claims for goods or services provided to Friday Health that are not related to insurance policies. If a POC is approved, it may be payable from Friday Health’s available funds. The SDR cannot predict when or if there will be funds available to pay any approved POCs. For more information about the POC process and other important updates visit FridayHealthTXSDR.com.

9. How does the POC process work?

The Receivership Court will approve a POC form and instructions and set a claims filing deadline. Once the POC form and deadline are approved by the Receivership Court, the SDR will provide notice of the POC deadline to known creditors, publish notice in newspapers, and post the POC form and instructions on the SDR web site. More information about the POC process and other important updates will be posted at FridayHealthTXSDR.com.

10. How do I keep up with what is going on in the receivership?

All pleadings filed in the Friday Health estate, as well as relevant notices, will be posted on the SDR’s website at FridayHealthTXSDR.com.

Contact information

11. How do I contact the Texas Life and Health Insurance Guaranty Association?

Phone: 512-476-5101, or toll-free 800-982-6362
Fax: 512-472-1470
Email: Questions@TXLifeGA.org
Mailing address: TLHIGA, 1717 West 6th Street, Suite 230, Austin, TX 78758

12. How do I contact the SDR?

Cantilo & Bennet, L.L.P. – Special Deputy Receiver
Website: FridayHealthTXSDR.com

When corresponding with the SDR, include your policy number, claim number, and contact information on each piece of correspondence.

For more information, contact:FIN-GM@tdi.texas.gov

FAQ for policyholders of Friday Health Insurance Company, Inc. (2024)

FAQs

What happened with Friday Health Plans? ›

Friday Health Plans of Georgia has been placed into receivership, and its health policies terminate on July 31, 2023. Friday Health Plans of Oklahoma, Friday Health Plans of North Carolina, Friday Health Plans of Nevada, and Friday Health Plans of Colorado have also been placed into receivership, with coverage ending ...

Is Friday Health Plans leaving Georgia? ›

("Friday Health Plans") is in liquidation. The liquidation order is available on the Friday Health Plans of Georgia, Inc. website at this link. If you have not already obtained another health plan, you can obtain a new health plan under the existing special enrollment period until September 29, 2023.

Is Friday Health Plans leaving Oklahoma? ›

All Friday Health Plans policies in Georgia will terminate at the end of July 2023, and all Friday Health Plans policies in Oklahoma, North Carolina and Colorado will terminate at the end of August 2023.

How do you deal with a health insurance company? ›

What to Do if You Have a Problem with Your Policy
  1. Talk to your doctor and call your health insurer. ...
  2. You can file a complaint with your insurer. ...
  3. Generally, your insurance company must make a decision within 30 days.
  4. If your health problem is urgent, your health insurance must do an Expedited Review.

Why is Friday Health Plans leaving NC? ›

North Carolina Insurance Commissioner Mike Causey announced today that Friday Health Plans of North Carolina Inc. (FHP-NC) has consented to being placed into receivership to protect North Carolina policyholders due to its reported insolvency and inability to raise additional funds from outside investors.

How many states is Friday Health Plans in? ›

In addition to Nevada, Friday Health Plans was available through the Affordable Care Act marketplace and had thousands of customers in Colorado, Georgia, North Carolina, Oklahoma and Texas. As of July 25, Friday Health Plan has approximately 3,000 enrollees in Nevada.

Who owns Friday Health insurance? ›

Friday Health was founded in 2015 when entrepreneurs Sal Gentile and David Pinkert bought the Alamosa-based insurance company Colorado Health Plans Inc. They soon renamed the company Friday Health Plans.

What is the most popular health insurance in Georgia? ›

Choose the Best Health Insurance Company in Georgia

Georgia's top five insurance providers are Humana, UnitedHealth Group, Anthem, Aetna, and Cigna.

Why did Friday insurance leave Texas? ›

"Texas was our largest state in terms of the numbers of members. We enrolled more members than we anticipated which meant increased costs of operation," the spokesperson said. "Other companies around the nation are doing this, as well.”

Why is Oklahoma ranked so low in healthcare? ›

Statewide policy is yet another factor that drives Oklahoma's poor health. We are just one of 13 states that chose not to expand Medicaid – a safety-net program for those unable to afford health insurance individually or through an employer.

Why are insurance companies leaving Obamacare? ›

Big insurers are leaving public exchanges because they simply can't figure out how to turn a profit selling coverage through them. This calls into question the long term stability of the entire Obamacare health reform. And meanwhile, insurance premiums are set of a major hike next year.

What has Biden done for health insurance? ›

The Biden-Harris Administration is committed to keeping health insurance premiums low, giving families more breathing room and the peace of mind that health insurance brings. To do that, the President is calling on Congress to make the expanded premium tax credits that the Inflation Reduction Act extended permanent.

Which health insurance company denies the most claims? ›

UnitedHealthcare is the worst insurance company for paying claims with about one-third of claims denied. Kaiser Permanente is the best large health insurance company for paying claims, denying only 7% of medical bills. Currently insured? It's free, simple and secure.

What if insurance doesn't pay enough? ›

File a Lawsuit

Negotiating with the insurance company should be your first step in trying to get a larger insurance settlement. However, it may not be successful, and you should be prepared for that outcome. You may need to take your case to court if you cannot negotiate a settlement.

How can I lower my company health insurance premiums? ›

7 Effective Ways to Reduce Group Health Insurance Plans
  1. Hire More Employees. ...
  2. Hire Young Employees. ...
  3. Provide Preventative Wellness. ...
  4. Exclude Dental and Vision Coverage. ...
  5. Offer a Health Savings Account. ...
  6. Choose a Plan with Maximum Out of Pocket Requirements. ...
  7. Compare Insurance Providers.

Why was my health insurance Cancelled? ›

Your insurance company can cancel your coverage if you intentionally put false or incomplete information on your insurance application. Your insurance company can cancel your coverage if you fail to pay your premiums on time.

Is Friday Health Plan leaving Colorado? ›

Friday Health plans in Colorado will end on August 31, 2023.

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